NPIMap

Organization Active NPI

Gila River Regional Behavioral Health Authority

  • Case Management Agency
  • Sacaton, AZ
National Provider Identifier
1306971346
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
GILA RIVER REGIONAL BEHAVIORAL HEALTH AUTHORITY
Practice address
483 W. Seed Farm Road
Sacaton, AZ 85247-0038
Phone
(602) 528-7135
Fax
(602) 528-1374
NPI assigned
Feb 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steven Green
Title
Director
Phone
(602) 528-7135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

483 W. Seed Farm Road
Sacaton, AZ 85247-0038

Mailing address

PO Box 38
Sacaton, AZ 85247-0038
Phone (602) 528-7135

Other identifiers 1

IdentifierTypeStateIssuer
415712MedicaidAZ

Other names 1

  • Gila River Health Care Corporation Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031125000648 TX Part B Supplier - Clinic/Group Practice 0648174185 Receives reassigned benefits from 503 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bapchute, AZ; Chandler, AZ; Laveen, AZ; Maricopa, AZ; Sacaton, AZ

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Gila River Health Care23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

Organizations that report the same tax identification number in the National Provider Directory.

View all 22

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306971346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "852470038",
            "telephone_number": "602-528-7135",
            "fax_number": "602-528-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 W. SEED FARM ROAD",
            "city": "SACATON",
            "state": "AZ",
            "postal_code": "852470038",
            "telephone_number": "602-528-7135",
            "fax_number": "602-528-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILA RIVER REGIONAL BEHAVIORAL HEALTH AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-528-7135"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415712",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gila River Health Care Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacaton, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.